Oncology Roundtable 2015 Cancer Patient Experience Survey Executive
Oncology Roundtable 2015 Cancer Patient Experience Survey Executive Briefing
2 Road Map 1 Survey Methodology 2 Respondent Profile 3 Survey Results © 2014 The Advisory Board Company • advisory. com
3 The Cancer Patient Experience Survey Use Max. Diff Analysis to Prioritize Patient Preferences 2015 Cancer Patient Experience Survey • 18 demographic questions What Do Cancer Patients Want…. 1 In a Provider? When deciding where to go for cancer care, which factor is the most important to you and which factor is the least important to you? • Five quality-related questions • Two max-diff questions 2 In Services? Thinking about your most recent experience, which service provided by a cancer center would have been the most valuable to you and which service would have been the least valuable to you? Oncology Roundtable Related Resource 2015 Cancer Patient Experience Survey © 2014 The Advisory Board Company • advisory. com Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
4 The Value of Max. Diff Analysis Common Market Research Tool Used to Prioritize Product Features Creating the Perfect Family Car Which of the following would be the most and least important to you when choosing a car? Most Which of the following would be the most and least important to you when choosing a car? Least Most Which of the following would be the most and least important to you when choosing a car? Most Least Backseat cupholders DVD player Built-in carseats Third row seating Side airbags Backseat cupholders DVD player Third row seating Side airbags Least Attribute Ranking © 2014 The Advisory Board Company • advisory. com #1 Built-in carseats #2 Side airbags #3 DVD player #4 Backseat cupholders #5 Third row seating Source: Oncology Roundtable interviews and analysis.
5 How to Interpret the Data Results Provide Apples-to-Apples Comparison Importance of Family Car Features Advantages of Max. Diff Surveys Utility Scores Utility scores for the set of attributes sum to 100 33, 0 27, 0 24, 0 1 Allow researchers to understand the magnitude of difference between ranked attributes 2 Force respondents to choose between attributes, preventing ceiling effects Utility scores represent the relative value of each attribute, e. g. , backseat cupholders are preferred 3: 1 over third row seating 12, 0 4, 0 Built-in Carseats Side Airbags © 2014 The Advisory Board Company • advisory. com DVD Player Backseat Cupholders Third Row Seating Source: Oncology Roundtable interviews and analysis.
6 Understanding Patient Drivers of Choice Force Trade-Offs to Yield Actionable Information Max-Diff #1 When deciding where to go for cancer care, which factor is the most important to you and which factor is the least important to you? • Technology and treatment options • Clinical quality (e. g. , • Patient support services (e. g. , someone to help coordinate my care, nutrition management) survival rates, infection rates) • Customer service • Location (e. g. , how • Appointment availability close the cancer center • Recommendation from a is to my home or work) family member or friend • Recommendation from my doctor • Doctor who specializes in my particular cancer • Ranking (e. g. , ranked by US News and World Report, top doctors report) • Cost • Accreditation (e. g. , accredited by the American College of Surgeons’ Commission on Cancer) • Cancer center is innetwork for my insurance • Availability of clinical trials • Facility and amenities Format: 5 features per screen, 12 screens Oncology Roundtable Related Resource 2015 Cancer Patient Experience Survey Portal © 2014 The Advisory Board Company • advisory. com Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
7 Max. Diff #2 Teasing Out Distinctions Between Services Asking Patients to Differentiate Among Cancer Center Offerings Max-Diff #2 Thinking about your most recent experience, which service provided by a cancer center would have been the most valuable to you and which service would have been the least valuable to you? • Complementary and • • • Religious and alternative medicine spiritual services (e. g. , yoga, • Parking that is acupuncture) or referral convenient, to such services affordable Support services for my • One point of contact family members to answer my Financial counseling questions, help me understand my care Patient education services and classes • Help scheduling and (e. g. , stress coordinating my management, chemo doctor class) appointments, treatment visits, Survivor support transportation services for me after I finished treatment • Specialized symptom management services (e. g. , help managing my pain, fatigue, nausea) • Social and mental health services for me during treatment (e. g. , support groups, counselors) • Multidisciplinary care • Extended hours of operation (e. g. , open late or on weekends) • A phone line I could call at any time to talk to a nurse about my symptoms • An online portal where I can view my test results and contact my care team clinics or meetings where my • Access to genetic testing and entire care team discusses genetic counseling my case • All of my care taking place in • Free or discounted one building (e. g. , imaging, transportation doctor’s visits, treatment) • Help with nutrition Format: 5 features per screen, 14 screens © 2014 The Advisory Board Company • advisory. com Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
8 Road Map 1 Survey Methodology 2 Respondent Profile 3 Survey Results © 2014 The Advisory Board Company • advisory. com
9 Age Distributed, Majority of Respondents White Age at Diagnosis Race Years 18 -54 White 55 -64 91% 38% 30% 32% 65+ © 2014 The Advisory Board Company • advisory. com 1% Asian 2% 4% Hispanic or Latino Black or African American Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
10 Distribution Across Gender, Tumor Type Gender Unsure 1% Other Lung 8% Female 12% 23% 57% Skin 43% Breast 20% Male Stomach 1% Blood or 5% Lymphatic 12% 7% 3% Cervix, Ovary, Brain, Head, or Uterus or Neck © 2014 The Advisory Board Company • advisory. com 8% Colon or Rectum Prostate Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
11 Education and Income Evenly Distributed Education Income Less than High School 1% Graduate or Professional Degree 16% 33% Bachelor’s Degree 31% 18% >$200 K $150 K $200 K 4% Prefer Not to Say 1% 4% <$25 K 20% High School $100 K $150 K $75 K $100 K 12% 13% 25% 20% Associate’s Degree © 2014 The Advisory Board Company • advisory. com $25 K $50 K - $75 K Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
12 Majority Received Surgery, Completed Treatment Type of Treatment Received 1 Status of Treatment 3% Chemotherapy or Other Drug Therapy 42% Radiation Therapy 32% 8% 64% 6% Active Treatment 2 Type of Provider Physician Office 4% undergoing treatment. Unsure 24% 38% 1) Respondents were asked to select all that apply, answers do not sum to 100. 2) Diagnosed within the two months prior to completing the survey. 3) Diagnosed more than two months prior to completing the survey, still Newly Diagnosed 1 25% 64% Surgery None Completed Treatment Elected Not to Receive Treatment 33% Academic Medical Center Community Hospital 4). © 2014 The Advisory Board Company • advisory. com Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
13 Insurance Status, Enrollment on HDHP Insurance Status Enrolled on HDHP 2 At Time of Diagnosis 1 n=363 42% Employer-Sponsored Purchased Directly from Insurer Yes 18% Federal or State Health Exchange 57% 5% 39% Medicare 14% Medicaid 7% Military (TRICARE, VA) 34% No 9% Unsure Indian Health Services 0% No Insurance Unsure 2% 1% 1) Respondents were asked to select all that apply, answers do not sum to 100. 2) Respondents selecting private insurance were asked if they were enrolled on a high-deductible health plan, defined as a deductible greater than $1, 250 for individual and $2, 500 for family coverage. © 2014 The Advisory Board Company • advisory. com Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
14 Distribution Across Nation, Community Setting Region Setting Rural West 23% 27% Midwest 22% 52% 31% Suburban 26% 20% South Northeast Urban © 2014 The Advisory Board Company • advisory. com Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
15 Most Live Near Cancer Center, Travel by Car Most Respondents Live Near Cancer Center, Travel by Car Travel Time to Cancer Center 2 -3 Hours 2% >3 Hours 2% 1 -2 Hours Mode of Transportation 0 -15 Minutes Private 23% 10% Other 24% © 2014 The Advisory Board Company • advisory. com 92% 5% 38% 30 Minutes -1 Hour 1% Provided by 1% Cancer Center 15 -30 Minutes Public Transportation Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
16 Road Map 1 Survey Methodology 2 Respondent Profile 3 Survey Results © 2014 The Advisory Board Company • advisory. com
17 Max. Diff #1 What Cancer Patients Want in a Provider When deciding where to go for care, which feature is most and least important? Mean Utility Scores n=602 16, 6 Doctor who specializes in my particular cancer 14, 2 Technology and treatment options 12, 8 Clinical quality 12, 0 In-network for my insurance 9, 4 Recommendation from my doctor 6, 1 Accreditation 5, 2 Patient support services 4, 6 Cost 4, 2 Location 3, 4 Availability of appointments 3, 1 Ranking 2, 8 Facility and amenities 2, 3 Customer service 2, 1 Availability of clinical trials Recommendation from my family and friends © 2014 The Advisory Board Company • advisory. com 1, 1 Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
18 Max. Diff #2 Patient Priorities for Services and Amenities Which services would have been most valuable and least valuable to you? Mean Utility Scores n=577 11, 3 All of my care takes place in one building 10, 1 Specialized symptom management 9, 3 One point of contact to help me understand my care 8, 8 Multidisciplinary care clinics 6, 6 Nurse phone line for help with symptoms 6, 5 Online portal to view test results, contact care team 5, 6 Financial counseling 5, 1 Survivor support services after finishing treatment 5, 0 Patient education services 4, 9 Help scheduling and coordinating my appointments 4, 2 Extended hours of operation 3, 9 Social and mental health services during treatment 3, 9 Complementary and alternative medicine 3, 6 Support services for my family 3, 0 Access to genetic testing and counseling Parking that is convenient and affordable Free or discounted transportation Religious and spiritual services Help with nutrition © 2014 The Advisory Board Company • advisory. com 2, 2 2, 1 2, 0 1, 9 Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
19 Quality #1 Sources for Quality Information If you were asked to judge the quality of a cancer center, which four sources would be most important to you? Percentage of patients indicating each source n=602 89% My doctor 59% Cancer center’s website Website with quality performance data 54% Independent website 54% 47% My insurance company My family and friends © 2014 The Advisory Board Company • advisory. com 36% Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
20 Quality #2 Patients Performing Online Research Which websites have you searched for patient reviews on the cancer center or cancer center’s doctors? Percentage of patients indicating each source Which websites have you searched for quality performance data on the cancer center or cancer center’s doctors? Percentage of patients indicating each source n=602 72% 62% 15% 8% Angie’s List 14% 6% Health Grades Vitals 8% Yelp © 2014 The Advisory Board Company • advisory. com 6% 15% 11% Zoc. Doc Consumer Other Reports 11% 12% 2% None Health Grades Hospital Physician Compare Other None Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
21 Quality #3 Finding Quality Metrics That Matter If you were asked to judge the quality of a cancer center, which three pieces of information would you most want to know? Percentage of patients reporting metric as important n=602 Percentage of patients that survive their cancer or procedure 57% Percentage of patients with successful surgical outcomes Number of cases of my particular cancer treated by physicians at the cancer center 46% 45% Patient satisfaction with their care at the cancer center 44% Percentage of patients receiving an accurate diagnosis 26% Percentage of patients whose cancer returns after initial treatment at the cancer center 22% Percentage of patients experiencing complications from treatment 22% 19% Number of medical errors Typical length of a hospital stay for patients admitted for my particular cancer or procedure Percentage of patients participating in clinical trials © 2014 The Advisory Board Company • advisory. com 10% 9% Source: 2015 Cancer Patient Experience Survey; Oncology Roundtable interviews and analysis.
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